Request an Interpreter : Our Services : LanguageLinc : Community Action

Request an Interpreter

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Are you already a customer? If so, click here to login. If you are not a customer and need a login password, click here to become a Customer. The benefits of becoming a LanguageLinc customer is your information will be automatically filled in the next time you request an interpreter! Below is our online request form for On-Site Interpretation Service.

ATTENTION!!! Any requests under 24 hours,

call 402-473-2940 or toll free 1-888-469-6555.

Customer/Billing Information

First Name *REQUIRED

Last Name *REQUIRED

Title/Position

Company/Facility/Agency *REQUIRED

Billing Address *REQUIRED

Address (Continued)

City *REQUIRED

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State *REQUIRED

Zip Code *REQUIRED

Phone Number *REQUIRED

Email Address *REQUIRED

if you do not have an email enter LLrequest@communityactionatwork.org

Additional Billing Instructions

Interpreter Request Information

Type of Interpretation Service

For immediate over the phone interpretation call 402-473-2940 or toll free 1-888-469-6555

Interpreter Gender Preference

Date of Appointment *REQUIRED

(MM/DD/YYYY)

Time of Appointment *REQUIRED

CST

Estimated length of appointment

Location of Appointment *REQUIRED

Suite/Room Number/Department *REQUIRED

Post NA if none apply

On-Site Point of Contact

Patient/Client Name, if Available *REQUIRED

If not available, type "NA"

Patient/Client Date of Birth *REQUIRED

(MM/DD/YY) If not available, enter "00/00/00"

Language *REQUIRED

we do not provide ASL interpreters, please call 1-800-545-6244 to request ASL

If "Other Unlisted" language, please enter language here

Patient/Client Country of Origin/Dialect

Nature of Interpretation

Additional Instructions or Information-Phone number of patient/client

Interpreter Confirmation

Print or copy this page before you submit your request!

LanguageLinc, LLC Interpretation Services

210 "O" Street | Lincoln, NE 68508
Phone: 402-473-2940 | Toll Free: 1-888-469-6555
Email: info@languagelinc.com